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									                      NEW CASTLE COUNTY VOCATIONAL-TECHNICAL SCHOOL DISTRICT
                                      FACILITY REQUEST FORM
    Request for use of Equipment and/or Facilities which are the property of the New Castle County Vocational-Technical School District
located at: (check the appropriate box)               Delcastle:                   Hodgson:                      Howard:                       Marshallton:


              (Name of Contact Person)                                                                          (Name of Organization)

Address                                                                                City/State/Zip Code
Phone Number                                     IRS Non-Profit Classification                                             Federal EI #
hereby make application for use of school facilities as follows:                   Athletic field (Specify):
          Gym (only)                                                               Student Cafeteria                                           Auditorium
          Gym (with dressing room & showers)                                       Faculty Dining Rm.                                          Elevated Classroom
          Classroom/Career Area Lab                                                Library                                                     Conference Room
Today's Date:            /         /                  Date(s) desired:                                               Number expected to attend:

DETAILED Description of Use:




Doors open for participants at:                            Doors open for audience at:                          Closing time at:                         Total hrs.

    NCCVTSD does not provide audio visual or other electronic devices such as VCR's, overhead
    projectors, portable sound systems, LCD projectors, etc., for use with our facilities.

In consideration of the granting of permission by NCCVTSD for the use of the building, grounds, and/or facilities of NCCVTSD, the undersigned
being a duly authorized officer or representative of the above-named, hereby agree for and on behalf of said organization, or group and for and
on behalf of the individual member thereof to release NCCVTSD, NCCVTSD Board Members, and their agents, employees, and representatives
from any and all claims for personal injuries, death, and property damages which may arise from or during the use of said buildings, grounds
and/or facilities, pursuant to said agreement of permission, and do further agree to defend, indemnify and hold harmless NCCVTSD, NCCVTSD
Board members, and their agents, employees, and representatives from any and all such claims. The Organization also agrees to defend,
indemnify, and hold harmless NCCVTSD from all claims arising from the acts, omissions, and/or negligence of the Organization, and all invitees of
the Organization, as well as all claims arising from the acts, omissions, and/or negligence of NCCVTSD.

Cost of facility rental (identified below) must be paid two full week prior to the requested date. Make all checks payable to "NCCVTSD"
and forward payment to the designated building representative. Fees will be waived for Internal Revenue Service designated non-profit
organizations operating for educational, cultural, civic, political, or recreational entities, organized or operating within the District boundaries.
All organizations will be charged an excess cost for use of facilities. Organization other then those listed above will be charge excess cost and
a usage fee for facility usage. Any changes to the language above will void the aggreement and result in immediate denial of facility use.

Cost for facility use (as per attached analysis sheet)       $                                         **** See Rate Schedule on Reverse Side

I/We the undersigned, have read above and understand and agree to comply with the rules and regulations (see District Policy Manual) applying to
the use of school facilities by all organizations. I/We also agree to have the authorized aggreement on my/our person at all times during facility use.




                  Organization Authorized Signature

                     l WITHOUT EXCEPTION, proof of liability insurance MUST accompany this form.
                       l FEE WAIVER will be given to those with valid IRS proof of Non-Profit Status.


          Request to use facilities              Approved:                  Denied:
                                                                                                           Assistant Principal                           Date

          Request to use facilities              Approved:                  Denied:
                                                                                                                        Director
                                                                                                           Facility Supervisor of Buildings & Grounds    Date

    If approved, signed copies of this request will be sent to: Originator of request, Building Assistant Principal, Building Chief Custodian, and the
    Athletic Director if needed.
                      New Castle County Vocational-Technical School District

                                        Facilities Request Rate Calculation Form

Item              These NON-WAIVEABLE costs are conditional for all                                Hours        Cost          Excess
No.            BUILDING USAGE in EXCESS OF NORMAL OPERATIONS                                                  Per Hour         Cost

 1     Custodial rate Monday through Saturday (Per Custodian Needed) **                                           $30.00

 2     Custodial rate Sunday and Holidays (Per Custodian Needed) **                                               $40.00

 3     Utilities (Other then hours of NORMAL OPERATION) (After 4 p.m.)&(Sat. & Sun.)                              $10.00

 4     Building Security (Per Security Personnel Needed) *                                                        $35.00

 5     Administrative Charges ($30 minimum per event)                                                1            $30.00          $30.00

                       TOTAL EXCESS COST
Item           These NON-WAIVABLE fees have been designated for facility                           Hours        Cost          Total
No.           usage by organization without valid IRS NON-PROFIT STATUS                                       Per Hour         Cost

 6     Auditorium ***                                                                                             $50.00

 7     Gymnasium (Without Locker Room and Shower)                                                                 $30.00

 8     Gymnasium (With Locker Room and Shower)                                                                    $40.00

 9     Cafeteria (Cooking and Serving Area NOT AVAILABLE)                                                         $20.00

10     Classroom, Meeting Room, Library, Career Area Lab                                                          $10.00

11     Athletic Fields (Per Field)                                                                                $50.00
                       TOTAL USAGE FEE
                       TOTAL COST (Excess Cost + Usage Fee )
 *     One custodian will be charged per 100 persons attending. MINIMUM OF ONE (1) CUSTODIAN IS REQUIRED. Additional
       custodians will be charged in increments of 100. (For example: 125 attending would require two (2) custodians). Security
       personnel may be required at school events to be determined on a case-by-case basis.
**     AN ADDITIONAL TWO (2) HOURS OF CUSTODIAL TIME WILL BE CHARGED TO ALL EVENTS, IN EXCESS OF THE
       SCHEDULED EVENT HOURS. CUSTODIAL TIME WILL BE CHARGED BASED ON A MINIMUM OF FOUR (4) HOURS.
***    Availablity contingent upon the extent of use and the payment of district employee(s) to operate the sound and lighing systems
       if necessary. Additional fees may apply.




                                                                                                                                      07/24

								
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